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_ F-r20ht:EUERETT BUILDING DEPT T�: 20664334`75 7fiN 17� iB92 2�13PM q412 P.02 <br /> �wx 7�c��APPLICAT^�N FOR CONSTRUI�:`ION PERMIT <br /> 7 yJ"r,3 'OOU- V 7I '�UG�O BE COMPLETED IN BLACK INK—PLEqSE PRINT � [ n <br /> BUILDING DEPARTMENT H6ATIN0 SYSTEM: (iAS U ELECTRIC U_� �� <br /> 259•8810 <br /> I I DEMOLITION I I COMBINATION ' BUILDIN� l J MECNANICAL I I PLUMBING I I SIGN <br /> �EN AURADDRCR9 em rn v�+or+t <br /> N/U �/ �P�Ll.Par"°.� L�GLvr,� 98G�7 G'�-23�3 <br /> TFNNlT. � Mu��ooncss cm ar v�¢x�6 <br /> V <br /> A I.Mg(' TFOTOhUCDi0NCl1 MARA6b11l8! CIIY L!' 1110NF � — <br /> 1,. ._ CCS BZc7j•t.c_{� <br /> �.ZL�'v�.L <br /> 0lNEMLLOHiPM:TOA MARADDPC66 GTY L� PHON! BTATF.IICCHlL■ <br /> FG� akf lll�lu.r C'OLbNG� l�(7/�N <br /> pgT11Af.'70N A4' d7U11[53 CIIY 11Y PMONG 67ATfliC[NSF.I <br /> PIUMBMGCONTMCTOR AUlAUDII[tl9 CIIY IIP FNON[ � 6TA1[LICCNSF�r � <br /> I ABS p�WOOK ' •. .. <br /> �(JEW I I APDITION 1 I ALTERATION I I REPAIq I I bEMOLITION I I WOOD8TOVFJFRPL INSEHT I I BUILOINp RELOCATION <br /> •. • —/z . PER60NANDPIIONF 0. <br /> cqNTRAGiPNiCeUfwonit � /✓ �'�•OG . . �/ /e .�/e .,�����3z3 _ <br /> o[3CRNfwORKAMISOU��l�OOTIIG INVMVFD <br /> Pnurw•co�seoroi�nwc+ l �� �����q$ 1 HEREBY CER7IFY THAT � HAVE REAb AND EXAMINED THI$ <br /> TR isZ� APPLICATION AND KNOW THE SAME 70 BE TRUE AND CORRECt ALL <br /> tEcw. sanrnonorvncw�n (WON'NBELOWUnA7inCNFWHCOPIE PROYISIONS OF IAWS AND ORDINANCES GOVERNINQ 7HI5 TYPE OF <br /> �.,( �� � /�,, WORK WIL4 BE COMPLETED WITN WHETHEft SPECIFIED HEREIN ON <br /> iar�_. s�oeK oc i�c+��i-R'�9v��.� NOL THE ORANTINQ OF A PERMIT DOES NOT PRESUMC TO GIVE <br /> AUTHOPITV TO JIOLATE OR CANCEL THE PROVISIONS Of ANY <br /> OTHER STATE OR LOCAL LAW REGULATIND CONSTRUCTION OR THE <br /> ' , ' � PEHFORMANCE.OF CONSTRUCTION.THAT I AM AUTMORIZEO BY THE <br /> P��L� ��� OWNER OF THI$ PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COMPLY WITH 1HE STATE <br /> �����/`,�� �CONTRACTORS LAW iB27 RCW AND 298200 WAC. <br /> _ _ ��� (J� "... . . . ("� � (/�_.'_� <br /> ? ]' <br /> � NT( <br /> �N <br /> PiK1JFL`I I�U�IICSSl � V � �Q ���-�CO " _ ' � <br /> �-�y3 _ l a� a�•r.wriu�w. Ho. ' . ._ . <br /> PLUMBIN6 MECHIIMCAL <br /> NO. TYPE OF FU(TURE OR IT6M FEE NO. TYPE OP EOUIPMENT FEE <br /> WATER CLOSET TOILET) � Nc—nMNOLQ UNITS—H.P. � <br /> � BATH7UB ; _ / FORCEO AIR SY&TEM�B.T.U. ht E.a. _ ; <br /> IAVATORY�(WASH BASINI i UNIi HEATER9—B,T.U� M , <br /> ��SHOWER � CLOTHESDRYERS . „ : <br /> � KITCHEN SINK 8 I715P � i VENTILATION FAN ,_ ' <br /> T <br /> ' �� I RANOEHOOD � <br /> DISNWASMER — - <br /> LAUNDRYiMY " ' .' WATERHEATER „ , , ' <br /> CLOTMES WASHEq � WOOD STOVE � <br /> �URINAL � ' METAL FIREPLACE 6 CHiMNEY „ ' .- <br /> ORINKIN6 FOUNTAIN � FIREPLACE IN6ERT ,,,,T_ <br /> FLOOR ORAIN � HEAT PUMP _ ' <br /> �� BACKFLOW PREVENTERS ; S PIPINO ,, ' . . . � <br /> T <br /> yROOF DRAINS—MINLEADERS� � EXMAU6T FAN � <br /> SINK SERVICE—BAR,ETC. � • � •� <br /> � <br /> " . y. � <br /> i _ . � ._ <br /> ..� . <br /> _ � -. � <br /> - _ „ __ � • ; .. <br /> ' .,, --�— <br /> _ _. . .. <br /> SUB TO7AL S � SUB TO7A4 S ' � <br /> PERMIT S � PERMIT S � .,, <br /> � � <br /> TOTALFEE S ' TOTALFEE S ' <br /> FOR OFFICE USE ONl . <br /> ��� � nv��s- n�^x_ sioccc cK 1'L�NGICCKNIIMB6R/ - �ee HlCkirfno. <br /> ���V� <br /> •�5!z lol�n�e��n� V��� Ffifi6 VALUATION FEE <br /> � —J 7�S BUILD�NO Z �}'�o �/rj,�! r <br /> TROlCONTC.�IIOWMLE IYMOfCfIN57.1Ci114 Y.1ttlw[�IMGW�iI • •••. • - <br /> �^°� ' / PLUMBING : i <br /> ;,�� Sf �, NO.f1fFTRipb onsc�crrt Mf.CHANICAL /�U' ; _ <br /> �����zZ � � <br /> na[CVPMn Fq6 PE6b t�eic,lT twRA�KN� ADDITIONAI.PLAN CH�CK —i- <br /> ,o N� -�R�E�+— , .�0 ; <br /> �---- <br /> 1F/.90NFG CFPWKIFPB I <br /> 6TATE BUILDINO SURCHAROE L� ;J7� <br /> JT�KfiOY _ (4M15AGpq�vcnev CITYOFEVERETT PURIICwORK6 (/; <br /> -�J Kr LOCAL SALE6 <br /> 9 5 TAX GODE IS 3105 tot�� - ;�D <br />